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29 Jun 2015
HBS Case

Consumer-centered Health Care Depends on Accessible Medical Records

health, the process is a bit like throwing a lasso around a tsunami. That's why integrated medical data has now become a major goal of health care reform. Integrating patient... View Details

Keywords: by Dina Gerdeman; Health; Technology

September 2015 (Revised February 2023)
Case

Emdeon's Acquisition of Change Healthcare: Innovating Transparency Solutions for Health Care Consumers

By: Regina E. Herzlinger, Jeet Guram and Aanchal Raj

Case describes acquisition of Change Healthcare, which provides health care cost and quality information, by Emdeon, a health information exchange, and discusses health care transparency. Emdeon is a billion-dollar company that has grown through acquisitions; at its... View Details

Keywords: Healthcare; Healthcare Industry; Healthcare Innovation; Health Care and Treatment; Acquisition; Integration; Analytics and Data Science; Mergers and Acquisitions; Competitive Strategy; Health Industry; United States

June 2020
Article

Evaluation of Prescription Drug Monitoring Program Integration with Hospital Electronic Health Records by US County-Level Opioid Prescribing Rates

By: A Jay Holmgren and Nate Apathy

Prescription drug monitoring programs (PDMPs) have become a widely embraced policy solution to the opioid epidemic in the US. PDMPs offer prescribers a comprehensive view of patients’ controlled substance prescription history and can be used to monitor and reduce... View Details

Keywords: Prescription Drug Monitoring Programs; PDMPs; Electronic Health Records; Hospitals; Health Care and Treatment; Information Technology; Integration; Performance Evaluation

Article

Integrating: A Managerial Practice that Enables Implementation in Fragmented Health Care Environments

By: Michaela J. Kerrissey, Patricia Satterstrom, Nicholas Leydon, Gordon Schiff and Sara J. Singer

How some organizations improve while others remain stagnant is a key question in health care research. This inductive qualitative study examines primary care clinics implementing improvement efforts in order to identify mechanisms that enable implementation despite... View Details

Keywords: Organization And Management Theory; Quality Improvement; Health Care and Treatment; Performance Improvement; Integration; Cooperation

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Article

Social Technology: An Interdisciplinary Approach to Improving Care for Older Adults

By: Arthur Kleinman, Hongtu Chen, Sue E. Levkoff, Ann Forsyth, David E. Bloom, Winnie Yip, Tarun Khanna, Conor J. Walsh, David Perry, Ellen W. Seely, Anne S. Kleinman, Yan Zhang, Yuan Wang, Jun Jing, Tianshu Pan, Ning An, Zhenggang Bai, Jiexiu Wang, Qing Liu and Fawwaz Habbal

Population aging is a defining demographic reality of our era. It is associated with an increase in the societal burden of delivering care to older adults with chronic conditions or frailty. How to integrate global population aging and technology development to help... View Details

Keywords: Health Care and Treatment; Age; Service Delivery; Information Technology; Collaborative Innovation and Invention

October 2009
Teaching Note

Global Health Partner: Obesity Care

By: Michael E. Porter, Zayed Muhammed Yasin and Jennifer F Baron

Teaching Note for [709494]. View Details

Keywords: Value; Quality; Performance Improvement; Competitive Advantage; System; Private Ownership; Medical Specialties; Integration; Health Industry; Sweden

May 2008 (Revised April 2018)
Case

The University of Texas MD Anderson Cancer Center: Interdisciplinary Cancer Care

By: Michael E. Porter and Sachin H. Jain

In 2006, University of Texas MD Anderson Cancer Center was an internationally leading institution for cancer care, education, and research. Since 1996, it had successfully reorganized itself from a cancer hospital that was physically organized around clinical... View Details

Keywords: Buildings and Facilities; Health Disorders; Organizational Structure; Medical Specialties; Organizational Change and Adaptation; Value Creation; Service Delivery; Research; Health Care and Treatment; Education Industry; Health Industry; Texas

September 2014 (Revised March 2016)
Case

Mayo Clinic: The 2020 Initiative

By: Regina E. Herzlinger, Robert S. Huckman and Jenny Lesser

Describes the challenges facing Dr. John Noseworthy, President and CEO, in implementing a long-term strategy for the growth of the Mayo Clinic—a leading academic medical center with a reputation for excellence in tertiary and quaternary health care. The case highlights... View Details

Keywords: Health; Health Care Industry; Health Care Policy; Health Care and Treatment; Health Industry; United States

2020
Working Paper

Vertical Integration of Healthcare Providers Increases Self-Referrals and Can Reduce Downstream Competition: The Case of Hospital-Owned Skilled Nursing Facilities

By: David Cutler, Leemore S. Dafny, David Grabowski, Steven S. Lee and Christopher Ody

The landscape of the U.S. healthcare industry is changing dramatically as healthcare providers expand both within and across markets. While federal antitrust agencies have mounted several challenges to same-market combinations, they have not challenged any... View Details

Keywords: Antitrust; Health Care and Treatment; Vertical Integration; Organizational Structure; Competition; Health Industry; United States

March 2021 (Revised December 2021)
Supplement

Humana (B) — Strategy Execution

By: Regina E. Herzlinger and Ashley Ifeadike

After Humana debuted its new pillar strategy focused on driving integration across members’ health care experiences, feedback from investors in private conferences and other forums was positive but stressed the need for execution and faced several questions in order to... View Details

Keywords: Health Care; Health Care Operations; Health Insurance; Health Care and Treatment; Insurance; Operations; Strategy; Health Industry

Other Article

How to Make Remote Monitoring Tech Part of Everyday Health Care

By: Samantha F. Sanders, Ariel Dora Stern and William J. Gordon

Remote patient monitoring is a subset of telehealth that involves the collection, transmission, evaluation, and communication of patient health data from electronic devices. These devices include wearable sensors, implanted equipment, and handheld instruments. During... View Details

Keywords: Health Care and Treatment; Information Technology; Analytics and Data Science; Technology Adoption

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August 2011 (Revised July 2014)
Case

Amil and the Health Care System in Brazil

By: Regina E. Herzlinger and Ricardo Reisen de Pinho

Dr. Edson Bueno created Amil, Brazil's largest health insurer. Unlike many others, it is vertically integrated. Dr. Bueno has two opportunities for growth. Which, if any, should he pursue? View Details

Keywords: Health Care and Treatment; Innovation and Invention; Opportunities; Insurance; Vertical Integration; Insurance Industry; Brazil

01 Oct 2024
Cold Call Podcast

Choosing Passion: A Founder’s Mission to Meet a Need for Obesity Care

Keywords: Re: Jon M. Jachimowicz; Health

May 2012 (Revised August 2014)
Case

McKesson

By: Regina E. Herzlinger and Natalie Kindred

McKesson, a large, diversified drug distribution and health care IT company, is considering development of new business offerings to help private practice physicians remain independent. The company, with $122 billion in 2010 revenues, just made its first foray into... View Details

Keywords: Health Care Industry; Health Care Policy; Organizational Transformations; Health Services; Health Care and Treatment; Business Model; Service Operations; Change Management; Corporate Strategy; Information Technology; Policy; Pharmaceutical Industry; Health Industry; United States

January 2018 (Revised June 2018)
Case

Medtronic: Navigating a Shifting Healthcare Landscape

By: Robert S. Kaplan, Michael E. Porter, Thomas W. Feeley and Alee Hernandez

Medtronic is adapting its strategy to changes in healthcare competition and payments. It has decided to develop new relationships with payers, hospitals, and physicians to become more accountable for patient outcomes and total costs. The case describes new forms of... View Details

Keywords: Value Based Health Care; Bundled Payments; Health Care and Treatment; Cost Management; Value Creation; Supply Chain Management; Customer Value and Value Chain; Health Industry; Medical Devices and Supplies Industry; United States; Netherlands

November 2020 (Revised April 2021)
Case

Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care

By: Trevor Fetter and Kira Seiger

This case describes the increasing investment by private equity (PE) firms in patient care and other healthcare services. The case focuses on investments in physician staffing firms and roll-up strategy investments in physician practice management (PPM). Included in... View Details

September 2012 (Revised May 2015)
Case

Philips-Visicu

By: Regina E. Herzlinger, Natalie Kindred and Sara M. McKinley

Would the advent of global payment models and ACOs create sufficient demand for a telemedicine offering covering the care continuum, from hospitals to the home? This was the decision facing Royal Philips Electronics (Philips), the Netherlands-based producer of... View Details

October 2013
Case

Pearle Vision: Clearly Different?

By: Rajiv Lal and Natalie Kindred

Ohio-based optical retailer Pearle Vision, part of the vertically integrated Italian eyewear group Luxottica, sold glasses and offered in-store eye exams. Once the largest U.S. optical retailer, Pearle Vision, with 266 corporate stores and 356 franchised stores in... View Details

Keywords: Eye Care; Competitive Advantage; Market Participation; Retail Industry; Health Industry; United States

Research Summary

Overview

We are studying the practical application of Michael Porter's value-based strategy to reform health care by examining best practices of integrated practice units, outcome measurement, cost measurement, value-based payment, episode based payment, regionalization of... View Details

Keywords: Health Care; Health Care Outcomes; Healthcare IT; Health Care Quality; Health Economics; Value Agenda; Information Technology; Mobile App; Big Data; Electronic Health Records; Pers; Value Creation; Information Technology Industry; United States

February 2018
Case

Health Savings Accounts: Enabling Consumer Participation

By: Regina E. Herzlinger and James Wallace

Health savings accounts (HSAs), a creation of the 2003 Medicare Modernization Act, had become an integral part of the drive toward consumer-driven health care. Coupled with high-deductible health plans, HSAs allowed consumers to directly control a significant part of... View Details

Keywords: Health Care; Healthcare Costs; Health Insurance; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Health Industry; United States

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